The school-age children with fears and phobias


  • Atchariya Wonginchan Faculty of Nursing, Khon Kaen University, Thailand
  • Chalida Thanatteerakul
  • Kaewkarn Suearam
  • Thiwawan Thepha
  • Thiti Sungworawongpana Faculty of Nursing, Khon Kaen University, Thailand


school-age children, fear, phobia, pediatric nurse, behavioral contro


Fears of school-age children is caused by many different reasons. It depends on the individual childhood experience. However, there are some children who fears without reason. In addition, some children who have experienced fears and not been cared for or addressed the problems properly at appropriate time, the fear severity may gradually increase, and eventually become phobias that are difficult to treat. Nevertheless, symptom indicating severity on each type of phobias in school-age children may guide those involved in finding out preventive and care strategies for assisting these school-age children to reduce their fears rapidly. The objective of this article is to present causes and severity of fear as well as signs of fears and phobias, for those involved of care and pediatric nurses to understand reasons and strategies to prevent children’s fears and phobias. Holistic child health care by nurses can help understanding causes, severity, and guide for addressing the problems. This can be achieved by recording the child’s illness history, using information to build positive imaginations, and finally, participating and continuing follow upofcare, inorder to control behaviors of school-age children to prevent aggravating phobias.


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Susan O. Growth and development of the school-aged child. Pediatric Nursing Philadephia: W.B. Saunders; 2002.

Taylor S. Anxiety Sensitivity: Theory, Research, and treatment of the fear of anxiety.New York: University of British Columbia; 2014.

Carleton RN. McCreary RD, Norton PJ, Asmundson GJG. Brief Fear of negative evaluation scale-revised. The Official Journal of ADAA [Online] 2016 [cited 10 September 2020]; 23(5):297-303. Available from: /10.1002/da.20142

Khorsuk C, Anusornteerakul S. Nursing care to reduce fear of childbirth. Journal of Nursing Science & Health 2017; 40(3): 160-70. (in Thai)

Lang PJ, Davis M, Öhman A. Fear and anxiety: animal models and human cognitive psychophysiology [Online] 2000 [cited 10 September 2018];61(3):137–59. Available from:

Ohman A, Mineka S. Fears, phobias, and preparedness: Toward an evolved module of fear and fear learning. Psychological Review 2001; 108(3): 483-522. doi:10.1037//0033-295X. 108.3.483

John R, James D. Anxiety disorders a pocket guide for primary care. West Virginia University: Morgantown, WV; 2008.

Joseph EL, Daniel SP. Using neuroscience to help understand fear and anxiety: A two-system framework. [Online] 2016 [cited 10 September 2020];173(11): 1083-93. Available from: 2016.16030353

Teachman B, Woody SR. Automatic processing in spider phobia: Implicit fear associations over the course of treatment. Journal of Abnormal Psychology 2003;112(1):100–9. doi:10.1037/0021-843X.112.1.100

Askew C, Reynolds G, Field AP. The prevention and reversal of vicarious learning of fear in children aged 6 - 11 years in: BPS developmental section & social section psychology annual conference 2015; 2015-09-09-2015-09-11, Manchester, UK;2015.

Hockenberry MJ, Wilson D, Wong DL. Wong, s essentials of pediatric nursing 9th ed. St. Louis: Elsevier/Mosby, 2013.

Antonio D, Carvalho B. The nature of feelings: Evolutionary and neurobiological origins. Nature Reviews Neuroscience 2013;14:143–52.

Custers K, Van den Bulck J. Fear effects by the media. European Journal of Pediatrics [Internet] 2012 Apr [cited 2020 Sep 28];171(4):613–6. Available from: http://search. AN=104399639&site=ehost-live

Hockenberry M. Wilson D. Wong’s nursing care of infants and children, department of pediatrics baylor college of medicine; Nurse Scientist, Texas Children’s Hospital, Texas; 2014.

MuksingW, Tohyusoh N,Punriddum J.Factors related to health care behavior among school childrenin NakhonSi ThammaratMunicipality. The Southern College Network Journal of NursingandPublic Health 2016;3(3):65-75. (in Thai)

Wonginchan A. Fear of school-age children with onlinemediain Thailand 4.0.Journal of Nursing Science & Health 2018; 41(4):145-54. (in Thai)

Reynolds G, Field AP, Askew C. Preventing the development of observationally learnt fears in children by devaluing the model’s negative response. J Abnorm Child Psychol 2015; 43(7):1355–67. doi: 10.1007/ s10802-015-0004-0

Pillitteri A. Maternal & child health nursing: Care of the childbearing & childrearing family. Philadelphia:WoltersKluwerHealth/Lippincott Williams & Wilkins; 2014.

Schaefer HS, Larson LC, Davidson RJ, Coan JA. Brain, body, and cognition: Neural, physiological and self-report correlates of phobic and normative fear. Biol Psychol 2014; 98(Apr): 59-69. doi:10.1016/ opsycho.2013.12.011

Marks IM. Fears and phobias. New York: AcademicPress, Inc, 111 fifth Avenue; 1969.

Olick RS. Ethics in public health carcinogenic plumes and aerophobia: Ethical tensions in the public smoking debate. J Public Health ManagementPractice 2004; 10(6): 569-70.

Emmelkamp PMG, Krijn M, Hulsbosch AM, De VS, Schuemie MJ, Van der Mast CAPG, et al. Virtual reality treatment versus exposure in vivo: A comparative evaluation in acrophobia. Behaviour Research and Therapy 2002; 40: 509–16.

Eshed I, Althoff CE, Hamm B, Hermann KGA. Claustrophobia and premature termina tion of magnetic resonance imaging examinations. Journal of Magnetic Resonance Imaging 2007;26:401–4.

Nevin MERT. Fear culture II. International Journal of Learning & Development 2012;2(2):31-9.

Ahmed MS. School phobia and Its consequences on school children: The Way Forward. Journal of Sociology, Psychology and Anthropology inPractice 2015;7(3):46-56.

Craske MG, Simos G. Panic disorder and agoraphobia. In, Simos G, Hofmann SG, editors. CBT forAnxietyDisorders:APractitionerBook. 1st ed. West Succex, Wiley-Blacwell.; 2013.

Laas A. Combating bullying in schools: A South African legal perspective. Pretoria: Faculty of Law, University of Pretoria; 2012.

Heitmann AJ. Reviews: ‘Republic of drivers: A cultural history of automobility in America and autophobia: Love and hate in the automo tive age, University of Dayton 2010;115(1): 254-6.

YildirimC, CorreiaA. Exploringthedimensions of nomophobia: Development and validation of a self-reported questionnaire. Computers in Human Behavior, journal homepage [Internet] 2015 Apr [cited 2020 Sep 28];49:130-7. Available from: locate/comphumbeh

Heimberg RG, Dodge CS, Hope DA, Kennery CR, Zollo LJ. Cognitive-behavioral group treatment for social phobia: Comparison with a credible placebo control. Cognitive Therapy and Research 1990; 14:1-13.

Heimberg RG, Juster HR. Treatment of social phobia in cognitive-behavioral groups. JournalofClinicalPsychiatry 1994;55:38-46.

Davidson JRT. International advances in the treatment of social phobia. Journal of Clinical Psychiatry 1994;55:123-9.

รูปที่ 1 Atchariya’s Fear cycle ประมวลผลจากแนวคิดของ Davidson (1994) และ Hillary (2014)



How to Cite

Wonginchan A, Thanatteerakul C, Suearam K, Thepha T, Sungworawongpana T. The school-age children with fears and phobias. JNSH [Internet]. 2021 Jun. 30 [cited 2022 Dec. 3];44(2):11-23. Available from:



Academic Article